| Ida Med Llc | |
|
800 W Layton Ave Milwaukee WI 53221-2427 | |
| (414) 334-1080 | |
| Not Available |
| Full Name | Ida Med Llc |
|---|---|
| Speciality | Dentist |
| Location | 800 W Layton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mahmoud Alsharkawi (OWNER) |
| Authorized Official Contact | 4143341080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Med Llc 800 W Layton Ave Milwaukee WI 53221-2427 Ph: (414) 334-1080 | Ida Med Llc 800 W Layton Ave Milwaukee WI 53221-2427 Ph: (414) 334-1080 |
| NPI Number | 1447066410 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447066410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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